Physician
Oneida Medical Services, PLLC
Oneida Medical Services, PLLC was paid $186K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoONEIDA MEDICAL SERVICES, PLLC
ONEIDA, NY 13421
ONEIDA, NY 13421
33aNPI1174860761assigned 01/16/2013
33bProvider typeObstetrics & Gynecology Physician
28Total paid$186K
24GClaims2,564
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in New York
Rank by total paid#217 of 762
Median peer was paid$22K
This provider vs. median8.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 261 | $14K | |
| 2019 | 321 | $17K | |
| 2020 | 272 | $19K | |
| 2021 | 267 | $21K | |
| 2022 | 646 | $50K | |
| 2023 | 651 | $58K | |
| 2024incomplete | 146 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 747 | 733 | $50K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 26% | 459 | 434 | $48K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 16% | 286 | 278 | $30K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 11% | 210 | 210 | $21K |
| 59025 | Fetal non-stress test | 9.1% | 507 | 408 | $17K |
| 76830 | Ultrasound, transvaginal | 4.8% | 112 | 111 | $9K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 3.4% | 66 | 53 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 39 | 39 | $2K |
| 99459 | <1% | 76 | 75 | $1K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 12 | 12 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 50 | 50 | $586.92 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCAPONE, HARRY (PRESIDENT/CHEIF MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Oneida Medical Practice, PC | Oneida, NY | $3.59M |
| Oneida Medical Practice, PC | Vernon, NY | $1.28M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.